Myung-Sup Kim MD PA
NPI 1457311656 · Specialist · Petersburg, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Myung-Sup Kim MD PA is a Specialist organization in Petersburg, WV (NPI 1457311656).
Provider details
- NPI number
- 1457311656
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Myung-Sup Kim, President(301) 724-1646
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2010-08-16
Frequently asked questions
- What is Myung-Sup Kim MD PA's NPI number?
- Myung-Sup Kim MD PA's National Provider Identifier (NPI) is 1457311656, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Myung-Sup Kim MD PA?
- Myung-Sup Kim MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Myung-Sup Kim MD PA located?
- Myung-Sup Kim MD PA's practice location on file with NPPES is Rt 55 West, Petersburg, WV 26847.
- What is Myung-Sup Kim MD PA's phone number?
- The practice phone number listed in the NPPES registry for Myung-Sup Kim MD PA is (304) 257-1026.
- Does Myung-Sup Kim MD PA accept Medicare?
- Myung-Sup Kim MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Myung-Sup Kim MD PA?
- The authorized official listed on Myung-Sup Kim MD PA's NPPES record is Myung-Sup Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Myung-Sup Kim MD PA's NPI active?
- Yes — Myung-Sup Kim MD PA's NPI (1457311656) is active in the NPPES registry as of the last update on 2010-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.